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BLD2006-00084
• DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00084 Received Date 2/28/2006 SITE ADDRESS: 120 ROCKY PT RD Issue Date 6/22/2006 BRINNON, 98320 APPLICANT: DANIEL R CARLSON PHONE: 360-571-0308 KATHLEEN N CARLSON 2019 NE 179TH ST APT Z113 RIDGEFIELD WA 986428605 T 12 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502294010 Section: 29 Township: 25N Range: 02W CONTRACTOR: BRINNON FIRE DEPT PHONE: 360-796-4450 BRINNON WA 98320 OWNER, DANIEL R CARLSON PHONE: 360-571-0308 if different: KATHLEEN N CARLSON 2019 NE 179TH ST APT Z113 RIDGEFIELD WA 986428605 PROJECT DESCRIPTION: DEMO SFR THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 6/22/2007. REQUIRED INSPECTION: fr.l FinalApproval: OK-Per-0 l/Z! OG BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • • SPECIAL CONDITIONS FOR CASE#BLD06-00084: 1.) The application was reviewed by the Jefferson County Department of Community Development staff on March 7, 2006 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Conservancy Shoreline Designation, Eagles Habitat Areas, Coastal Seawater Intrusion Protection Zones (SIPZ). 2.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 3.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 4.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 5.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. • • 7.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 8.) The applicant is proposing to create or add 730 square feet of impervious surface and 296 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal shall adhere to Best Managemnet Practices (BMPs). 9.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 10.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 11.) The site plan as submitted with the building permit application on February 28, 2006 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated April 11, 2006 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) This approval is for a demolition permit and a single family residence only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13)or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 15.) The building height is not to exceed 35 feet. 16.) Minimum setback from Rocky Point Rd right-of-way is 20 ft. Minimum setback from Hwy 101 right-of-way is 50 ft. Minimum setback from the top of the bank adjacent to the shoreline is 13 ft 2 in, as depicted on the site plan. Setback shall be measured from the waterward most edge of the structure, excluding decks and eaves. Minimum side and rear setbacks are 5 ft. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 19.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 20.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. • • 21.) All stormwater shall be infiltrated entirely onsite. All stormwater discharge shall be routed away from bluff and shall not be discharged over the bluff. If stormwater is unable to be infiltrated onsite, a separate shoreline permit is required prior to tightlining stormwater to the beach. 22.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 23.) A minimum of two (2)on-site parking spaces are required for the single family residence. 24.) The existing home is a legal nonconforming structure with regard to shoreline setback requirements. Applicants propose to utilize the existing foundation, remodeling the lower level and add an upper level secondary story. The Administrator determined the addition is allowed as it is not increasing the level of nonconformity. 25.) The proposal was reviewed for consistency with the Shoreline Management Master Program Section 3.402.5 and found to be consistent. The proposal is (1) a single family residence, (2)does not exceed 35 feet in height, (3)does not involve over-water construction and is located landward of the OHWM, and (4) meets or exceeds all required setbacks as set forth in said SMMP. 26.) A public water system provides potable water to the single family residence 27.) A septic permit(SEP06-00044)was approved June 15, 2006 for a system with capacity of 360 gallons per day. 28.) A demolition permit (BLD06-00084)was approved May 20, 2005 to demolish the existing single family residence. 29.) This parcel is designated Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 30.) Rocky Point Road is a private road (P146). The road approach is existing, and an address of 120 Rocky Point Rd has been assigned to the parcel. 31.) The County GIS Map indiactes the parcel is located within Zone C of the FEMA map. Based on the fact that the parcel is located uphill at an elevation of 26.68, it is the determination of the administrator that no flood elevation certificate is required. 32.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 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Work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a demolition shall include a certification that there Is no known asbestos-containing material remaining in the area of the structure. Project Site Address: ARO jn K y !7 Kd/ County:,06 R54A1 t tv- �1,QI�u�lnti! State: LPaA :Ivan - . Starting Date: 7 is re,(i 3/ ; - o(1 omple t ai dilate: i"t -3 6- + advance a cat od from tv.ci of (There is a 10 working day � I� 1rt permit application) Property Owner314144 l r/Ia J GSA u Telephone d34$ Fax: Mailing Address: i O/q AM /71-‘sS7. 14Pr- Z(/3 City: i1)4€F(--.) State: 16E4 Zip:9444Eol - Demolition Contractor: oOEL & E EXL!. State License#: 1)4,74f Mailing Address; /eV fir 6.1u/lTAW h. City- ,uAt/DA! State; Will Zip:VagG Contact P-erson:. 4/tR.y Telephone: .36D- -- WWW Fax: YES NO Demolition by Wrecking or Dismantling? ($25.00 fee)chuck# 9b'`I`l_ OR K Training Fire Demolition? (If yes,Attach fire department request for training fire) X Renovation,Alteration,Remodeling,Maintenance,or other Construction? X Asbestos found or suspected* *Ay fs-u A "Notice of fateut to Remove or Eiiespaol*te•Asbtetos"f*m and apprepriat m-Oinst-be submitted prior to any asbestos _ removal work. Asbestos tarnoval pnjects involving demolition must be preformed by a Certified Asbestos Contactor and all friable or potentially friable asbestos mast be removed before any demolition begins,. Refer to ORCAA Regulation 1 Article 14 for additional requirements that may apply. Asbestos Survey Completed by ABERA Certified Inspector_ cv/ Certification#-WM'IDA-00�4.--05 E,rP /0140,,6 _ F'ibis approved permit must Enclose$25 Certification of the Asbea6oa-Suivey must be available at the job site Processing Fee accompany this fain 2940 B Limited Lane NW,Olympia,Washington 98502 360-586-1044 • 800422 5623 * fax 360491.6308 homepage:www.vrcaa.rug * email:info@orcaa_ort; Rev.07/1 i/02 BUILDING ILDING PERMIT APPLICATION MLA06-00080 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00084 Received Date: 2/28/2006 SITE ADDRESS: 120 ROCKY PT RD BRINNON, 98320 OWNER: DANIEL R CARLSON PHONE: 360-571-0308 KATHLEEN N CARLSON 2019 NE 179TH ST APT Z113 RIDGEFIELD WA 986428605 SUBDIVISION: Block: Lot: T 12 PARCEL NUMBER: 502294010 Section: 29 Township: 25 N Range: 02 W CONTRACTOR: BRINNON FIRE DEPT PHONE: 360-796-4450 BRINNON WA 98320 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr DEMO SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION CODE EDITION: 2003 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: Sup aim/o Type Amount Paid By: Date: Receipt: Approved/Date Permit $51.00 LYK 02/28/06 79173 State Building Code $4.50 LYK 02/28/06 79173 Total: $55.50 JUN 2006 Jefferson County Planning & Building Department C 6Q.S2Wel eyr,n ! ____ „��,sJN c�� JEFFER1 COUNTY110 4, DEPARTMENT OF COMMUNITY DEVELOPMENT ~ '� 621 Sheridan Street • Port Townsend • Washington 98368 " , . 360/379-4450 • 360/379-4451 Fax q`�,bt/NO .° www.co.jefferson.wa.us/commdevelopment FEB 2 8 ?nn; Master Permit Application MLA: CIC — RC Project Description (include separate sheets as necessary): . r.T .,Ja r �r . Tax Parcel Number: 56,),k, Nri0 Property Size: /�!: , (acres/square feet) Site Address and/or Directions to Property: /. 0 ielie&i.y `T /? (L %//-7L1cs7 - /}7.;1 f�, �,�,/ Je. //1 Property Owner(s)of Record: /t2iij�.L. k: F ��,�2 7N l�Z�J A/ Cry-,�'-Z..5 6A-/ Telephone:,�6L`-^/;7/ l 8 Fax: email:Ct ///ly /A',T)cir/) ,e¢Ce.C'ean Mailing Address: , t7' /Ili= /f`1 ' J7, lip-Z//' �.=, / 7z_ i-EF , /,J� /s'4/' 7 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ❑ Building ❑Variance(Minor, Major or Reasonable Economic Use) ,Demolition Permit 0 Conditional Use[C(a),C(d),or C]** ❑ Single Family 0 Discretionary"D"or Unnamed Use Classification 0 Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** 0 Manufactured Home 0 Boundary Line Adjustment ❑ Modular 0 Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address 11 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** 0 Propane ❑ Plat Vacation/Alteration** 0 Allowed "Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development*" 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments, is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. / Signature: Lit_- -fit" ice/ �4/.4/,_ '�C..�-" Date: (A.V/-' The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non- transferable rejponsibility for a Tering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: tier fit )c_ 1Lej../ Date: ‘,347,),'w�� G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc • ar...�.,-. .+ram BUILDER STATEMENT ' F E B 2 8 2006 ' I The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that hey are not licensed contractc(rs and .hat they will be assuming the responsibility of the General Contractor for the proposed project. _ 1 Signature: Date: iim.:. kf hF-<' 1 el ti" i GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: G'C//vf/ Y/ r/F E: 27z'/'T ('‘0 ) /ye,- z/`74.-c: ( ) MAILING ADDRESS: ek%wi(!Zw, //l q MQ EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/E \ `11- �'16‘M �rY22,- PHONE ( ) FAX:( ) MAILING ADD i�Y)Y 64 k�lfj����CA EMAIL Project Typ ` Bathrooms: Shoreline: Type of Sewage Disposal: El New Existing: / ❑ Sewer ❑ Addition Proposed: Bank Height: ❑ Community System ❑ Alteration Total: i Li Individual System , ❑ Repair ag SEP Permit#•� Lt';()C(( i pil Demolition ._.. Bedrooms: Water Supply: Existing: A. Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: Total: �.- ❑ Public Name of System:-1cF1 EE$. r ('T y ze iH72-l_-- (47-- ,-; If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants, employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I i Underground Tank Above ground Tank(A) -, Size of Propane Tank: /; C x A Li Heat Stove ❑ Cook Stove ❑ Woodstove X Firep`1ace Insert ❑ Hot Water Tank ❑ Pellet Stove ri Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. f ^a t t r ),Y e Square Footage Current Proposed For Office Use Only,',i <i,,fi • ; * .,IttA d tnt. `Revisjott ,., ti,: Main Floor Heated EH Bld App Review: 2nd Floor Heated Consistency Review: Other Heated Base fee: • cJI CsC _ . u Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 4 .(7JZ` Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL `. 5 `�C? 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